NY Tri-State Area: Do you want a gray hair makeover?

Are you tired of looking in the mirror and seeing gray hair? Do you want to dye your hair but don't know what color is best? Do people think you're older than you really are? If you're ready to say goodbye to gray hair and brighten up your locks, we want to hear from you!

First Name*

Last Name*

Gender

Email Address*

Age* (Must be 18 or over)

Street Address*

City*

Province

State*

Zip Code*

Country*

Phone Number

My Story*

Photo

Do you want to be on the show?

I agree that KWP Studios Inc., its parent company, subsidiaries, affiliates and partners may edit, publish or otherwise use your submission in any manner (including on television, online and social media) and that I have read and agree to this site's Terms of Use.